International Health Policy Program -Thailand Global Health Collaboration Workshop Capacity building for (international) collaboration ทักษพล ธรรมรังสี สำนักงานพัฒนานโยบายสุขภาพระหว่างประเทศ

International Health Policy Program -Thailand MOU agenda tomorrow

International Health Policy Program -Thailand

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International Health Policy Program -Thailand Presentation outline Capacity & capacity building Collaboration GH collaborative capacity

International Health Policy Program -Thailand Competency-Capability-Capacity Competence is the quality or state of being functionally adequate or having sufficient knowledge, strength and skill. (core competency and functional competency) Capability is a feature, faculty or process that can be developed or improved Capacity is the power to hold, receive or accommodate Vincent, L., (2008) Differentiating Competence, Capability and Capacity

International Health Policy Program -Thailand 18 Definition : Capacity Capacity: ability or power to do/understand something [Oxford U. Dictionary] The ability of people, organizations and society to manage their affairs successfully [OECD 2006] Skills, knowledge, resources needed to perform a function [ Resources, efficiency and effectiveness the societies deploy these resources to identify and pursue their development goals on a sustainable basis. [ EXTCDRC/0]

International Health Policy Program -Thailand 19 Definition : Capacity development The process whereby people, organizations and society as a whole unleash, strengthen, create, adapt and maintain capacity over time. The process by which individuals, groups, organizations, institutions and countries develop their abilities, individually and collectively, to perform functions, solve problems and achieve objectives. Locally driven process of transformational learning by leaders, coalitions and other agents that leads to actions that support changes in institutional capacity areas. [ TCDRC/0]

International Health Policy Program -Thailand 20 Long journey towards sustaining capacities Move from building, to sustaining and finally institutionalization Through INNE model – I: Individual capacity – N: Node or institutional capacity – N: Networking for herd immunity and support – E: Enabling environment for continued learning

International Health Policy Program -Thailand 21 UNDP INNE model: Individual, Node (organization), Network and Enabling environment--

International Health Policy Program -Thailand What do we mean by ‘collaboration’ The action of working with someone to produce something (Oxford U. Dictionary) Individuals and organizations working together to address problem and deliver outcomes that are not easily or effectively achieved by working alone Why collaboration (complex social problem)

International Health Policy Program -Thailand Cooperation-Coordination-collaboration CooperationCoordinationCollaboration [nature]Information & experience sharing/ minor change Work together (still self controlled) Highly interdependenc y, system change Trustlowhigh CommunicationadhocMore structured/proj ect based Frequent & regular GoalindependentCommon Power/resourcesindependentShared Commitment/acc ountability To own organization Broader Risk/RewardLowHigh Timeframeshortlonger

International Health Policy Program -Thailand Are we ready to collaborate? 1.Do we really need to do this? 2.Are we open and willing to change? 3.Do we have both the capability and capacity to work collaboratively? 4.Are we able and willing to delegate decision making? 5.Are we willing to have our organisation exposed to the scrutiny of other participants? 6.Are we prepared to hold ourselves accountable to collaborative agreements? Source: Keast, R (2013) Are we ready to collaborate?

International Health Policy Program -Thailand

Collaborative capacities

International Health Policy Program -Thailand Core competencies for collaboration Ability to work across boundaries To frame operating context, inc. prepare members for joint working Nimbleness to work with an emerging set of norms, roles and values [source: Chrislip D (1994), Collaborative leadership] Others: Mobilise/ Energise/ Facilitate others, Mediation, negotiation, resource management, read/analyse situation, politic sensitive, emotional intelligence, problem learning

International Health Policy Program -Thailand Others competencies for collaboration Others: Mobilise/ Energise/ Facilitate others, Mediation, negotiation, resource management, read/analyse situation, politic sensitive, emotional intelligence, problem learning, identify & resolve conflict, communication, network building, partnership formation, leverage partnership “Step in other shoes” [Mandell, MP (1994), Managing interdependencies through program structures]

International Health Policy Program -Thailand Quality of relationship 1.Trust – Commitment trust – Competency trust – Companion trust 2.Reciprocity – Give and take 3.Mutuality – From independent to collective interest Interdependency Reputation: Complying with established/agreed actions, helping to identify shared problem&resolution, promoting mutual outcome

International Health Policy Program -Thailand Network driver, process catalyst Network driver(s) Collaborative leadership = process catalyst Required skills – Initiative & nurture relationship – Be trustworthy – Build agreement around collaborative vision – Articulate & communicate – Networking within and across sectors – Influence others – Read & diagnose, seeing big picture – Take risk and encourage others to be comfortable with taking risks

International Health Policy Program -Thailand 31 Situation and limitations of conventional capacity building (CB) programs Common concern Lack of all-around competent human resources Aging society: our champions are getting old! Drawbacks of conventional CB models Take time to gain experience and competency Individual-based: single enlightening, tacit knowledge High mobility in bureaucratic system, difficult to generate ‘continuity of wisdom, leadership, and networks’. Easily burnout from working alone Limited involvement to GO

International Health Policy Program -Thailand 32 What capacity do we need in GHC? Language proficiency Knowledge in – Technical content – System and process – Politic Convening power Communication and Negotiation skills Strategic alliance and partnership

International Health Policy Program -Thailand 33 Modes of capacity development Active learning from real life exposure to GH Reactive and proactive Team interactions Mentor & supervisor Active self learning Downlink and Uplink legs